Bronchodilators Overview
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Questions and Answers

What is the primary mechanism of action for long-acting beta-agonists (LABAs)?

  • Blockade of acetylcholine on muscarinic receptors
  • Stimulation of beta-1 receptors in the heart
  • Prevention of bronchoconstriction by inhibiting parasympathetic stimulation
  • Relaxation of smooth muscle in the airways by stimulating beta-2 receptors (correct)

Which of the following is a common side effect of both sympathetic and parasympathetic bronchodilators?

  • Tremors
  • Dry mouth (correct)
  • Tachycardia
  • Urinary retention

Which of the following is an example of a short-acting beta-agonist (SABA)?

  • Salmeterol
  • Tiotropium
  • Umeclidinium
  • Albuterol (correct)

What is the primary difference in mechanism of action between sympathetic and parasympathetic bronchodilators?

<p>Sympathetic bronchodilators stimulate beta-2 receptors, while parasympathetic bronchodilators block muscarinic receptors. (C)</p> Signup and view all the answers

Which of the following statements is TRUE regarding the onset and duration of action of short-acting anticholinergics?

<p>They have a moderate onset and a moderate duration of action (6-8 hours). (C)</p> Signup and view all the answers

Which of the following is the primary reason SABAs are preferred for acute relief?

<p>They have a faster onset of action than LABAs. (B)</p> Signup and view all the answers

Which of the following is NOT a common side effect of parasympathetic bronchodilators?

<p>Tremors (C)</p> Signup and view all the answers

Which of the following statements is TRUE regarding the clinical use of long-acting beta-agonists (LABAs)?

<p>LABAs are typically used for maintenance treatment and long-term control of symptoms. (A)</p> Signup and view all the answers

Flashcards

Beta-2 Agonists

Drugs that stimulate beta-2 adrenergic receptors for bronchodilation.

SABAs

Short-acting beta-agonists provide quick relief for asthma symptoms.

LABAs

Long-acting beta-agonists used for long-term control of asthma.

Anticholinergics

Drugs that block acetylcholine, preventing bronchoconstriction.

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Ipratropium

A short-acting anticholinergic used for immediate bronchial relief.

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Tiotropium

A long-acting anticholinergic for maintenance of asthma.

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Tachycardia

Increased heart rate, a common side effect of beta-agonists.

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Bronchodilation

The relaxation of airway muscles, allowing easier breathing.

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Study Notes

Sympathetic Bronchodilators (Beta-agonists)

  • Mechanism of Action: Stimulate beta-2 adrenergic receptors in airway smooth muscle, causing relaxation and bronchodilation.
  • Types:
    • Short-acting beta-agonists (SABAs): Quick relief, e.g., albuterol, levalbuterol.
    • Long-acting beta-agonists (LABAs): Long-term control and prevention, e.g., salmeterol, formoterol.
  • Onset and Duration:
    • SABAs: Rapid onset (minutes), short duration (4-6 hours).
    • LABAs: Slower onset, longer duration (up to 12 hours or more).
  • Side Effects:
    • Tachycardia (increased heart rate), palpitations, tremors, nervousness (due to beta-1 receptor stimulation).

Parasympathetic Bronchodilators (Anticholinergics)

  • Mechanism of Action: Block acetylcholine's action on muscarinic receptors, preventing bronchoconstriction.
  • Types:
    • Short-acting anticholinergics: Quick relief, e.g., ipratropium.
    • Long-acting anticholinergics: Maintenance treatment, e.g., tiotropium, umeclidinium.
  • Onset and Duration:
    • Short-acting: Moderate onset, 6-8 hours.
    • Long-acting: Slower onset, prolonged duration (up to 24 hours).
  • Side Effects:
    • Dry mouth, throat irritation, urinary retention (systemic effects).

Comparison of Bronchodilators

  • Mechanism Differences: Sympathomimetics directly stimulate beta-2 receptors, parasympathomimetics block acetylcholine.
  • Onset and Duration Differences: Sympathomimetics have a faster onset, useful for acute relief. Parasympathomimetics provide longer-lasting relief, better for maintenance.
  • Side Effect Profiles: Sympathomimetics may have cardiovascular effects (beta-1 stimulation). Parasympathomimetics primarily have localized effects (e.g., dry mouth).
  • Clinical Applications: SABAs, helpful for acute bronchospasm relief. LABAs and long-acting anticholinergics for maintenance/preventative treatment of conditions like COPD.

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Description

This quiz covers the mechanisms of action, types, onset, duration, and side effects of sympathetic and parasympathetic bronchodilators. Learn about short-acting and long-acting beta-agonists as well as anticholinergics used for bronchodilation. Test your knowledge on this essential aspect of respiratory pharmacology.

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